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HPV types 6 and 11 are responsible for causing majority of genital warts whereas HPV types 16, 18, 31, 33, and 35 are also occasionally found. [5] It is spread through direct skin-to-skin contact, usually during oral , manual , vaginal , or anal sex with an infected partner.
Warts are very common, with most people being infected at some point in their lives. [2] The estimated current rate of non-genital warts among the general population is 1–13%. [1] They are more common among young people. [1] Prior to widespread adoption of the HPV vaccine, the estimated rate of genital warts in sexually active women was 12%. [5]
The strains of HPV that can cause genital warts are usually different from those that cause warts on other parts of the body, such as the hands or feet, or even the inner thighs. A wide variety of HPV types can cause genital warts, but types 6 and 11 together account for about 90% of all cases.
Warts can also spread through fomites, or surfaces where the virus that causes warts can live for a short time, Thompson explains. Examples of fomites are towels, razors and damp shower floors.
Vestibular papillomatosis (VP) are normal small bumps in the genital area of females. [1] The bumps appear in multiple numbers, are rounded and are not painful, itchy or uncomfortable. [1] They are comparable to pearly penile papules, which occur in males. [2] VP are not infectious and not due to HPV. [1] Diagnosis is by visualization. [1]
The number of first cases of genital warts in 2017 among girls aged 15–17 years was just 441, 90% less than in 2009 – attributed to the national HPV immunisation programme. [109] AIDS is among the leading causes of death in present-day Sub-Saharan Africa. [110] HIV/AIDS is transmitted primarily via unprotected sexual intercourse.